245 CMR 5.02
Standards of Conduct for Nursing Home Administrators
The Standards of Conduct for Nursing Home Administrators include:
(1) Use of Title. A Nursing Home Administrator shall only identify himself or herself as a
Nursing Home Administrator while in possession of a current license;
(2) Misrepresentation of Credentials. A Nursing Home Administrator shall not misrepresent
his or her credentials related to the practice of Nursing Home Administration including, but not
limited to, education, type of license, professional experience, or any other credential related to
his or her work as a Nursing Home Administrator.
(3) Practice Under a False or Different Name. A Nursing Home Administrator shall engage
in the practice of Nursing Home Administration only under the name in which such license has
been issued.
(4) Acts within Scope of Practice. A Nursing Home Administrator shall only perform acts
within the scope of practice.
Competency. A Nursing Home Administrator shall only assume those duties and
responsibilities within his or her scope of practice and for which he or she has acquired and
maintained necessary knowledge, skills, and abilities.
(6) Responsibility and Accountability. A Nursing Home Administrator shall be responsible and
accountable for his or her judgments, actions, and competency in the course of performing his
or her duties as a Nursing Home Administrator.
(7) Documentation. A Nursing Home Administrator shall make complete, accurate, and legible
entries in all records required by federal, state and local laws and regulations.
(8) Falsification of Information. A Nursing Home Administrator shall not knowingly falsify,
or attempt to falsify, any documentation or information related to any aspect of licensure as a
Nursing Home Administrator, the practice of Nursing Home Administration or the delivery of
Nursing Home Administrator services.
(9) Alteration or Destruction of Records. A Nursing Home Administrator shall not
inappropriately destroy or alter any record related to his or her work as a Nursing Home
Administrator.
Discrimination. A Nursing Home Administrator shall not withhold or deny care or
services based on age, ancestry, marital status, sex, sexual orientation, gender identity, race,
color, religious creed, national origin, diagnosis, or mental or physical disability.
(11) Resident Abuse, Neglect, Mistreatment, or Other Harm. A Nursing Home Administrator
shall not abuse, neglect, mistreat, or otherwise harm a resident.
(12) Infection Control. A Nursing Home Administrator shall not place a resident, himself or
herself, or others at undue risk for the transmission of infectious diseases.
(MA REG. # 1329, Dated 12-30-16)
5.02: continued
(13) Resident Dignity and Privacy. A Nursing Home Administrator shall safeguard a resident's
dignity and right to privacy.
Resident Confidential Information. A Nursing Home Administrator shall safeguard
resident information from any person or entity, not entitled to such information. A Nursing
Home Administrator shall share appropriate information only as required by law or authorized
by the resident for the well-being or protection of the resident.
(15) Sexual Contact. A Nursing Home Administrator shall not have sexual contact with any
resident with whom he or she has a current Nursing Home Administrator /resident relationship
or with any former resident who may be vulnerable by virtue of disability, age, illness, or
cognitive ability.
(16) Professional Boundaries. A Nursing Home Administrator shall establish and observe
professional boundaries with respect to any resident with whom he or she has a current Nursing
Home Administrator/resident relationship. A Nursing Home Administrator shall continue to
observe professional boundaries with his or her former residents who may be vulnerable by
virtue of disability, age, illness, or cognitive ability.
(17) Exercise of Undue Influence. A Nursing Home Administrator shall not exercise undue
influence on a resident, including the promotion or sale of services, goods, appliances or drugs,
in such a manner as to exploit the resident for financial gain for the benefit of the Nursing Home
Administrator, the Nursing Home or a third party.
Borrowing from Residents. A Nursing Home Administrator shall not borrow money,
materials, or other property from any resident.
(19) Undue Benefit or Gain. A Nursing Home Administrator shall interact with residents
without undue benefit or gain to the Nursing Home Administrator, the Nursing Home or a third
party.
(20) Relationship Affecting Professional Judgment. A Nursing Home Administrator shall not
initiate or maintain a Nursing Home Administrator/resident relationship that is likely to adversely
affect the Nursing Home Administrator's professional judgment.
(21) Advertising. A Nursing Home Administrator shall not engage in false, deceptive, or
misleading advertising related to Nursing Home Administration.
(22) Fraudulent Practices. A Nursing Home Administrator shall not engage in any fraudulent
practice including, but not limited to, billing for services not rendered or submitting false claims
for reimbursement.
(23) Impersonation. A Nursing Home Administrator shall not impersonate another Nursing
Home Administrator or other health care provider, or knowingly allow or enable another person
to impersonate him or her.
(24) Aiding Unlawful Activity. A Nursing Home Administrator shall not aid any person in
performing any act prohibited by law or regulation.
(25) Circumvention of Law. A Nursing Home Administrator shall not receive from, or offer,
give, or promise anything of value or benefit to, any official to circumvent any federal, state or
local laws or regulations.
(26) Practice While Impaired. A Nursing Home Administrator shall not act as a Nursing Home
Administrator while impaired.
Unlawful Acquisition and Possession of Controlled Substances. A Nursing Home
Administrator shall not unlawfully obtain or possess controlled substances.
5.02: continued
(28) Duty to Report to the Board. A Nursing Home Administrator has a duty to report to the
Board if he or she directly observes another Nursing Home Administrator:
(a) abuse a resident;
(b) practice Nursing Home Administration while impaired by substance use; or
(c) divert controlled substances.
(29) Violence. A Nursing Home Administrator shall not endanger the safety of the public,
residents, or coworkers by making actual or implied threats of violence, or carrying out an act
of violence.
(30) Compliance with Agreements and Orders. A Nursing Home Administrator shall comply
with all provisions contained:
(a) in any agreement he or she has entered into with the Board; or
(b) in any order issued to him or her by the Board.
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